Gastric volvulus with a large bochdalek hernia in an adult successfully treated with emergency endoscopic reduction followed by elective laparoscopic mesh repair: A case study

Autor: Yoshiki Kawaguchi, Hidejiro Urakami, Yoh Isobe, Shiko Seki, Sumio Matsumoto, Takashi Ohishi, Yuichi Nishihara
Rok vydání: 2016
Předmět:
Zdroj: Asian Journal of Endoscopic Surgery. 9:318-321
ISSN: 1758-5902
DOI: 10.1111/ases.12309
Popis: We report a case of gastric volvulus with a large Bochdalek hernia successfully treated with emergency endoscopic reduction followed by elective laparoscopic mesh repair. The patient was a 71-year-old woman with no history of trauma. She was referred to our hospital because of nausea and vomiting after eating. Thoracic and abdominal CT showed gastric volvulus and a large Bochdalek hernia. The patient underwent emergency endoscopic reduction and elective laparoscopic surgery. The defect (10 × 12 cm) was reinforced with a Dual Mesh (expanded polytetrafluoroethylene) and fixed to the diaphragm with nonabsorbable sutures. The postoperative course was uneventful, and no complications or recurrence was found at the 2-year follow-up. The endoscopic reduction and elective laparoscopic procedure was performed successfully and resulted in significant clinical improvement in this case.
Databáze: OpenAIRE
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